HPRA 001 Department of Agriculture, Food and the Marine European Communities (Breeding Pig Herd Book and Register) Regulations 1994 (SI 151 of 1994) Application Form for approval to establish or maintain registers for hybrid breeding pigs Name of applicant body: Address: Tel. No: Mobile No: Fax No: e-mail address: Fax No: e-mail address: Name of contact person: Address: Tel. No: Mobile No: Details of Applicant Body Form of Legal personality: If a company specify company type: Company Office Registration Number: VAT No: Office facilities Office location: Office Hours of business: Staff resources: List office equipment D:\106730893.doc Version 1 Page 1 of 3 HPRA 001 Other Details Register name Number of members in organisation Approx. number of registered animals used for breeding by members (year ended December 200 ) Breed type Male Female Do you have a breed improvement/preservation programme Supply details of your proposed pedigree certificate issuing system Please supply sufficient information in your application to satisfy the Minister for Agriculture, Food and the Marine (the Minister) that your organisation 1. (a) has the potential to operate efficiently; (b) Can carry out the checks necessary for recording parentage; (c) Has a sufficiently large herd to carry out a breed improvement programme (d) can make use of the livestock performance data necessary for carrying out its breed improvement programme. 2. (a) Has a set of rules covering: - the system for identifying animals; the system for recording parentage; the definition of its breeding objectives; the system for making use of livestock performance data; 3. Have rules of procedure adopted in accordance with its articles of association laying down, in particular, the principle of non-discrimination between members. 4. Has a documented dispute resolution procedure. Supporting documentation which must accompany your application Proof of legal personality D:\106730893.doc Version 1 Page 2 of 3 HPRA 001 Memorandum and Articles of Association Copy of previous three years audited accounts where available Details of Company Directors if any Details of Shareholding if any Rules of company/organisation Rules relating to the maintenance of the Register Details of breed improvement/preservation programme Sample copy of pedigree certificate issued to pure bred breeding pigs, their semen, ova and embryos. Details on the system used to performance test pigs and or their progeny or collateral testing PLEASE NOTE 1. A person who when making an application for approval wilfully makes a false or misleading statement shall be guilty of an offence. 2. The Minister may upon receipt of an application for approval, require such information from the applicant as is considered necessary to ensure that the provisions of Directive 88/661/EEC and Decision 89/504/EEC will be complied with and to decide whether or not to grant the approval. 3. The details of applications and approvals etc. are stored by computer programme for the purpose of administering the hybrid breeding pigs register approval system. Under the Data Protection Act 1988, you are entitled to a copy of any information about you kept on computer and you have the right to have any errors rectified. Listings giving names and addresses of approved bodies are published on the EU Commission website. 4. It should be noted that information provided by you may be subject to disclosure under the Freedom of Information Acts (FOI) 1997 and 2003. If you wish to have any of the records concerned protected under the Confidentiality, Commercially Sensitive, Personal Information or other exemption provisions of that legislation you should mark those records accordingly and state your reasons. The relevant exemptions will then be considered in the event of an FOI request relating to those records. I hereby declare: (a) that I have read and undertake to comply with the Terms and Conditions. (b) that the particulars given in this application are true to the best of my knowledge and belief. (c) Signature: ________________________________________ Date: _________________ Completed applications should be returned to: Livestock Breeding Section, Department of Agriculture, Food and the Marine, Government Buildings, Farnham St. Cavan. Tel. No. (049) 4368293 Fax. No. (049) 4361486. E-mail address: zootechnics@agriculture.gov.ie D:\106730893.doc Version 1 Page 3 of 3